$281.50
73218 is for a nonjoint upper-extremity MRI without contrast; this code requires both unenhanced and contrast-enhanced imaging.
On this page
CMS RVU26D · Effective 2026-10-01
73220 Extremity MRI Medicare reimbursement rates in Nebraska
MRI of nonjoint upper-extremity tissues with images acquired before and after contrast is reported when both phases are performed. Compare 73220 office and facility rates across CMS payment localities in Nebraska.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 73220 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$377.99
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Magnetic resonance imaging
About 73220: Upper-extremity MRI without and with contrast
MRI of nonjoint upper-extremity tissues with images acquired before and after contrast is reported when both phases are performed.
This study images nonjoint structures of an upper extremity, such as soft tissues in the upper arm or forearm, using MRI sequences before and after contrast administration. It may be used to evaluate a suspected soft-tissue mass, infection, or other abnormality outside a dedicated joint examination. A technologist performs the scan, and a radiologist or other qualified physician interprets the images. The ordering question and scanned anatomy should center on the limb rather than a specific joint.
Report this code when the documented examination includes both unenhanced and contrast-enhanced imaging; use the corresponding single-phase code when only one phase is performed. The order and report should identify the side, anatomy examined, clinical indication, and contrast-enhanced sequences. The global service includes the technical work and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. CMS applies the diagnostic imaging multiple procedure reduction to both components. When both sides are examined, each side is paid separately at 100%.
CMS billing rules for 73220
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU2.10 · 17%
- Practice expense (office) RVU9.92 · 81%
- Malpractice RVU0.16 · 1%
20.3K
Medicare services in 2024 · #1141 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
73220 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$306.34
73219 describes a nonjoint upper-extremity MRI with contrast only. Choose this code when the study includes both pre- and post-contrast imaging.
$356.28
73223 is the corresponding study for an upper-extremity joint. This code applies when the examination targets nonjoint structures of the limb.
73202
No office rateCt uppr extremity w/o&w/dye
73202 uses CT rather than MRI for upper-extremity imaging without and with contrast. The modality and documented study performed determine the code.
Compare 73220 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$377.99
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 73220 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
8,171
- Code
- 73220
- Physician work
- 2.10
- Practice expense
- 9.92
- Malpractice
- 0.16
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.10 | × 1.000 | 2.1000 |
| Practice expense | 9.92 | × 0.923 | 9.1562 |
| Malpractice | 0.16 | × 0.378 | 0.0605 |
| Total RVUs | 11.3166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$377.99
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.1 | 1 |
| Practice expense | 9.92 | 0.923 |
| Malpractice | 0.16 | 0.378 |
(2.1 × 1 + 9.92 × 0.923 + 0.16 × 0.378) × $33.4009 = $377.99
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
73220 billing questions
When should this code be used instead of 73218 or 73219?
Use this code when the upper-extremity MRI includes imaging both before and after contrast. Code 73218 represents the unenhanced study, and 73219 represents imaging with contrast only.
How does this differ from 73223?
This code is for an examination of nonjoint upper-extremity structures. Use 73223 when the MRI is centered on an upper-extremity joint and includes both pre- and post-contrast imaging.
Can the professional and technical services be billed separately?
Yes. Modifier 26 reports the professional interpretation, and modifier TC reports the technical service. Without either modifier, the claim represents the global service.
How is bilateral imaging handled?
When both upper extremities are examined, CMS pays each side separately at 100%. Identify the right and left sides separately under applicable claim conventions.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,16873219,,Mri upper extremity w/dye,A,,1.58,8.18,,8.18,NA,0.11,9.87,9.87,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.12
8,16973219,26,Mri upper extremity w/dye,A,,1.58,0.58,,0.58,,0.08,2.24,2.24,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,17073219,TC,Mri upper extremity w/dye,A,,0.00,7.60,,7.60,NA,0.03,7.63,7.63,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,02,0,88,10.63,10.63,0.04
8,17173220,,Mri uppr extremity w/o&w/dye,A,,2.10,9.92,,9.92,NA,0.16,12.18,12.18,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,11.38,11.38,0.17
8,17273220,26,Mri uppr extremity w/o&w/dye,A,,2.10,0.76,,0.76,,0.12,2.98,2.98,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,17373220,TC,Mri uppr extremity w/o&w/dye,A,,0.00,9.16,,9.16,NA,0.04,9.20,9.20,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,17473221,,Mri joint upr extrem w/o dye,A,,1.32,4.73,,4.73,NA,0.09,6.14,6.14,1,XXX,0.00,0.00,0.00,4,3,0,0,0,9,,33.4009,09,0,88,7.76,7.76,0.10
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068